Organization
HIGHLAND PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L FULTON MD (PRESIDENT)
(618) 654-9851
Entity
Organization
Contact information
Practice address
1212 BROADWAY, HIGHLAND, IL 62249
(618) 654-9851
(618) 654-1339
Mailing address
PO BOX 181, 1212 BROADWAY, HIGHLAND, IL 62249
(618) 654-9851
(618) 654-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/02/2006
Last updated
09/11/2025
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